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General NPI Number Information
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NPI Number | 1407163843
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Entity Type | Organization
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Legal Business Name | MEDMOBILE IMAGING , LLC
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Dates
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Enumeration Date | 09/07/2010
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Last Update Date | 09/07/2010
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Provider Practice Location Address
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Address Line | 1350 N BUCKNER BLVD STE 212
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City | DALLAS
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State | TX
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Zip | 75218-3575
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Country | US
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Telephone | 469-877-9417
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Fax | 972-303-1620
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Provider Business Mailing Address
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Address Line | 4201 STONE HAVEN DR
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City | GARLAND
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State | TX
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Zip | 75043-7289
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Country | US
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Telephone | 469-877-9417
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Fax | 972-303-1620
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Authorized Official
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Title or Position | CFO
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Name | MR. MATHEW JOHN
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Credential | RT
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Telephone | 469-877-9417
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335V00000X
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Taxonomy Name | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
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License Number |
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License Number State |
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